ANSWERS

1. Multiple dilated bowel loops
2. Multiple air-fluid levels
3. Intestinal obstruction (SBO)
4. Assess ABCs and monitor vital signs
5. • Insert two large-bore IV cannulas and give IV crystalloids
6. • Insert a nasogastric tube for decompression
7. • Keep the patient nil per mouth and insert a urinary catheter to monitor urine output
8. Emergency laparotomy 
9. • Treat the underlying cause, e.g. adhesiolysis, hernia repair, or resection of non-viable bowel